A decade's experience of pediatric lung abscess and empyema at a community hospital.


BACKGROUND:Discussions on the diagnostic and management of acquired pediatric lung pathology are usually published by large tertiary children's hospitals. It is likely that much of this pathology is actually seen and managed in nonacademic practices. METHODS:A 10-year retrospective review of patients under 18-years of age, treated for lung abscesses or empyema was performed. RESULTS:Nineteen empyema and four lung abscesses were included. Presenting symptoms, workup, and management are reviewed. A unique subset (n = 4) of atypical pulmonary pathology is described. A 14-year-old with a vaping history and a lung abscess misdiagnosed as an empyema. A 15-year-old with primary pulmonary Hodgkin's lymphoma presenting as a lung abscess and empyema. A 5-year-old with an empyema complicated by a bronchopleural fistula and a 21-year-old with autism and an acquired lung cyst. CONCLUSION:Our dilemmas, experiences, and strategies in managing complex lung disease are generalized to community-based practice.


Pediatr Pulmonol


Pediatric pulmonology


Kanitra JJ,Thampy CA,Cullen ML




Has Abstract


2021-01-02 00:00:00






  • Irreversible airway obstruction in childhood asthma? A clinician's viewpoint.

    abstract::Even though childhood asthma is assumed to comprise reversible airway obstruction, some children develop irreversible airway obstruction (not reversed by a bronchodilator or corticosteroids); this may be due to inflammation that has caused remodeling. Lately, it has been claimed that in the absence of treatment with i...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: König P

    更新日期:2002-04-01 00:00:00

  • Prenatal exposure to VOCs and NOx and lung function in preschoolers.

    abstract:BACKGROUND:Several studies have shown that exposure to air pollutants affects lung growth and development and can result in poor respiratory health in early life. METHODS:We included a subsample of 772 Mexican preschoolers whose mothers participated in a Prenatal Omega-3 fatty acid Supplements, GRowth, And Development...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Gutiérrez-Delgado RI,Barraza-Villarreal A,Escamilla-Núñez MC,Hernández-Cadena L,Cortez-Lugo M,Sly P,Romieu I

    更新日期:2020-08-01 00:00:00

  • Increased interleukin-8 and monocyte chemoattractant protein-1 concentrations in mechanically ventilated preterm infants with pulmonary hemorrhage.

    abstract::Pulmonary hemorrhage (PH) is a serious complication causing acute respiratory distress in the premature infant, and it is associated with significant mortality and morbidity. The role of inflammatory mediators in this condition is largely undefined. Serial tracheal aspirates (TA) were obtained at intervals from 65 mec...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Baier RJ,Loggins J,Kruger TE

    更新日期:2002-08-01 00:00:00

  • Acute pulmonary toxicity following intralesional administration of bleomycin for a lymphovenous malformation.

    abstract:OBJECTIVE:To describe the clinical course and treatment of an infant with acute pulmonary toxicity following intralesional administration of bleomycin for a lymphovenous malformation. DESIGN:Case report. SETTING:A tertiary care University-affiliated hospital. PATIENT, INTERVENTION, AND RESULTS:An 8-month-old girl de...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Atwa K,Abuhasna S,Shihab Z,Hashaykeh N,Hasan R

    更新日期:2010-02-01 00:00:00

  • Current understanding of the inflammatory process in cystic fibrosis: onset and etiology.

    abstract::Although airway obstruction and chronic endobronchial infection have long been recognized as major factors in the pathogenesis of lung disease in cystic fibrosis (CF), only recently has it been recognized that the inflammatory process itself may be responsible in a major way for destroying the lungs. The most characte...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Konstan MW,Berger M

    更新日期:1997-08-01 00:00:00

  • Attempt to normalize simulated exhaled nitric oxide according to ventilatory settings.

    abstract:BACKGROUND:Simulated exhaled nitric oxide (eNO) depends on ventilatory settings used in different experimental conditions. OBJECTIVES:To normalize the simulated minute exhaled nitric oxide according to different ventilatory settings. WORKING HYPOTHESIS:Different ventilatory settings influence the concentrations of ex...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Figueras-Aloy J,Berrueco R,Salvia-Roiges MD,Rodríguez-Miguélez JM,Miracle-Echegoyen X,Botet-Mussons F,Mur-Sierra A,Vall O,Carbonell-Estrany X

    更新日期:2008-12-01 00:00:00

  • Acid steatocrit determination is not helpful in cystic fibrosis patients without or with mild steatorrhea.

    abstract:BACKGROUND:Most methods used for the assessment of severe steatorrhea in cystic fibrosis (CF) are sensitive. In fact, the tests show their usefulness in a borderline zone of the results. Yet, the existing data related to acid steatocrit (AS) are still contradictory. Therefore, in the present study we have aimed to asse...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Walkowiak J,Lisowska A,Blask-Osipa A,Drzymała-Czyz S,Sobkowiak P,Cichy W,Breborowicz A,Herzig KH,Radzikowski A

    更新日期:2010-03-01 00:00:00

  • Prematurity is associated with abnormal airway function in childhood.

    abstract::To evaluate the long-term effect of prematurity and/or hyaline membrane disease (HMD) on pulmonary function and airway reactivity, we studied 49 prematurely born children aged 10 to 13 years. They were divided into three groups according to birth weight and HMD status: Groups I and II comprised the children weighing l...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Galdès-Sebaldt M,Sheller JR,Grogaard J,Stahlman M

    更新日期:1989-01-01 00:00:00

  • Airway stents in children.

    abstract::Airway obstruction in children is a rare, but difficult clinical problem, with no clear agreement on optimal therapeutic approach. Stenting of the airway has been used successfully in adults, and is an attractive alternative in children. Fundamental differences of pediatric compared to adult use include the benign nat...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章,评审


    authors: Nicolai T

    更新日期:2008-04-01 00:00:00

  • Diagnostic value and pathophysiologic basis of pulsus paradoxus in infants and children with respiratory disease.

    abstract::The purpose of the study was to analyze the respiratory-dependent intraarterial blood pressure variations (pulsus paradoxus, PP) in intensive care unit patients with obstructive and restrictive pulmonary disease, and to evaluate the usefulness of PP for assessment of disease severity. One-minute paper recordings of ar...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Frey B,Freezer N

    更新日期:2001-02-01 00:00:00

  • The ontogeny of human pulmonary angiotensin-converting enzyme and its aberrant expression may contribute to the pathobiology of bronchopulmonary dysplasia (BPD).

    abstract:INTRODUCTION:The mammalian lung possesses the highest level of angiotensin converting enzyme (ACE) amongst all the organs. ACE is known to generate angiotensin (AT)-II from AT-I and to regulate serum bradykinin level, thereby controlling blood pressure. Recent data, however, indicate a role for ACE derived AT-II in ang...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Castro EC,Parks WT,Galambos C

    更新日期:2014-10-01 00:00:00

  • Trial of an intervention to reduce passive smoking in infancy.

    abstract::We tested a health education intervention program to reduce passive smoking in infancy. The aim was to develop an instrument for study of tobacco smoke exposure and childhood respiratory illness. One hundred and eighty-four women who had smoked during pregnancy were allocated by month of delivery to an intervention gr...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Woodward A,Owen N,Grgurinovich N,Griffith F,Linke H

    更新日期:1987-05-01 00:00:00

  • Impact of home spirometry on medication adherence among adolescents with cystic fibrosis.

    abstract:OBJECTIVE:Medication adherence among adolescents with cystic fibrosis (CF) is often suboptimal and this has significant impact on their health and quality of life. The purpose of the study was to evaluate the impact of frequent home pulmonary function (PFT) monitoring on medication adherence among adolescents with CF. ...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Shakkottai A,Kaciroti N,Kasmikha L,Nasr SZ

    更新日期:2018-04-01 00:00:00

  • Outcome of idiopathic apparent life-threatening events: infant and mother perspectives.

    abstract::The objective of this study was to determine the neurodevelopmental and temperamental outcome of infants who suffered an idiopathic apparent life-threatening event (IALTE) and their mothers' perceptions of such an event, and to compare such infants with a matched group of babies hospitalized for nonthreatening events....

    journal_title:Pediatric pulmonology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Tirosh E,Kessel A,Jaffe M,Cohen A

    更新日期:1999-07-01 00:00:00

  • Preferences for disclosing adverse childhood experiences for children and adults with cystic fibrosis.

    abstract:INTRODUCTION:The 2017-2018 National Survey of Children's Health estimates that 30 million (42%) US children have experienced at least one adverse childhood experience (ACE), including abuse, neglect, and household dysfunction. ACEs negatively impact long-term health, and there has been no study of ACEs in cystic fibros...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Williams WA 2nd,Jain M,Laguna TA,McColley SA

    更新日期:2020-12-26 00:00:00

  • High-sensitivity C reactive protein as a biomarker for grading of childhood asthma in relation to clinical classification, induced sputum cellularity, and spirometry.

    abstract:BACKGROUND:Asthma is the most common chronic inflammatory disease in childhood and some reports have demonstrated systemic inflammation. The relevance of high-sensitivity assays for C-reactive protein (hs-CRP), which are known to be a sensitive marker of low-grade systemic inflammation, has not been fully studied in ch...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Deraz TE,Kamel TB,El-Kerdany TA,El-Ghazoly HM

    更新日期:2012-03-01 00:00:00

  • Daily inhaled corticosteroids or montelukast for preschoolers with asthma or recurrent wheezing: A systematic review.

    abstract:BACKGROUND:Most international asthma guidelines recommend that children ≤5 years with asthma or recurrent wheezing be treated with daily low- moderate dose inhaled corticosteroids (ICS) as the preferred controller and leukotriene receptor antagonists (LTRA) as alternative therapy. There is no systematic review comparin...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Castro-Rodriguez JA,Rodriguez-Martinez CE,Ducharme FM

    更新日期:2018-12-01 00:00:00

  • Limitations of electronic compensation for measuring plethysmographic airway resistance in infants.

    abstract::Electronic compensation to overcome thermal artifacts during plethysmographic estimations of airway resistance is now used routinely in adults and school-age children, and was shown to be a valuable means of discriminating airway function between preschool children with and without lung disease. A similar system is no...

    journal_title:Pediatric pulmonology

    pub_type: 临床试验,杂志文章


    authors: Subbarao P,Hulskamp G,Stocks J

    更新日期:2005-07-01 00:00:00

  • Childhood asthma in the United States: urban issues.

    abstract::The prevalence and morbidity of asthma are growing problems that appear to affect urban populations and particularly impoverished centers disproportionately. Poor children are more likely to be hospitalized for asthma than nonpoor children, and are more likely to experience clinical and social dysfunction due to asthm...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章,评审


    authors: Shapiro GG,Stout JW

    更新日期:2002-01-01 00:00:00

  • Effect of spontaneous and mechanical breathing on dynamic lung mechanics in hyaline membrane disease.

    abstract::We measured then compared the dynamic lung mechanics of spontaneous breaths and mechanical breaths in 9 mechanically ventilated neonates with hyaline membrane disease. All were receiving intermittent mandatory ventilation. All breathed spontaneously between ventilator breaths. Tidal volume, transpulmonary pressure, dy...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Mammel MC,Fisher JB,Bing DR,Gatto CW,Boros SJ

    更新日期:1990-01-01 00:00:00

  • Multiresistant Pseudomonas aeruginosa in a pediatric cystic fibrosis center: natural history and implications for segregation.

    abstract::It has been suggested that cystic fibrosis (CF) patients harboring multiresistant (MR) Pseudomonas aeruginosa (PA) should be seen in separate clinics. The aim of this study was to test the feasibility of this by longitudinally studying the consistency of isolates of MRPA in individuals. We analyzed all respiratory tra...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Davies G,McShane D,Davies JC,Bush A

    更新日期:2003-04-01 00:00:00

  • Early elevations in B-type natriuretic peptide levels are associated with poor clinical outcomes in pediatric acute lung injury.

    abstract:OBJECTIVES:To determine B-type natriuretic peptide (BNP) levels in infants and children with acute lung injury (ALI), and to investigate associations between BNP levels and clinical outcome. DESIGN:Prospective observational study. SUBJECTS:After informed consent, plasma was collected from 48 pediatric patients on day...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Reel B,Oishi PE,Hsu JH,Gildengorin G,Matthay MA,Fineman JR,Flori H

    更新日期:2009-11-01 00:00:00

  • RGS5 gene and therapeutic response to short acting bronchodilators in paediatric asthma patients.

    abstract::Short-acting β2-adrenergic receptor agonists are commonly used bronchodilators for symptom relief in asthmatics. Recent evidence demonstrated that prolonged exposure of cultured airway smooth muscle cells to β2 agonists directly augments procontractile signaling pathways with the change in expression of regulator of G...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Labuda M,Laberge S,Brière J,Bérubé D,Krajinovic M

    更新日期:2013-10-01 00:00:00

  • Flexible bronchoscopy in pediatric intensive care.

    abstract:OBJECTIVE:To define the benefits of a flexible bronchoscopy (FB) service in a Paediatric Intensive Care Unit (PICU). DESIGN:Review of the first 200 FBs undertaken in a large PICU. SETTING:Large cardiac and medical PICU in the United Kingdom, also providing extra-corporeal life support. PATIENTS:129 patients (78 male...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Davidson MG,Coutts J,Bell G

    更新日期:2008-12-01 00:00:00

  • Outcomes of a methicillin-resistant Staphylococcus aureus (MRSA) eradication protocol in pediatric cystic fibrosis (CF) patients.

    abstract:OBJECTIVE:Methicillin-resistant Staphylococcus aureus (MRSA) infections in cystic fibrosis (CF) patients have greatly increased in prevalence in the past two decades and may lead to a more rapid rate of lung function decline. The objective of this study was to determine the impact of a MRSA eradication protocol on long...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Belarski E,Pettit R

    更新日期:2020-03-01 00:00:00

  • Ambulatory blood pressure monitoring in Chinese children with obstructive sleep apnea/hypopnea syndrome.

    abstract:OBJECTIVE:Obstructive sleep apnea/hypopnea syndrome (OSAHS) is a common sleep problem. The aim of this study is to investigate the association between OSAHS and blood pressure (BP) in snoring children. METHODS:Snoring children were recruited from January 2009 to December 2010. Clinical history was taken accompanied by...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Xu Z,Li B,Shen K

    更新日期:2013-03-01 00:00:00

  • Prophylactic antibiotics in cystic fibrosis: a conviction without evidence?

    abstract::Pulmonary infection with Staphylococcus aureus occurs in young children with cystic fibrosis, and may contribute to the cycle of infection, inflammation, and destruction of lung tissue which leads to bronchiectasis. Practice guidelines in North America and the UK differ greatly with regard to the advice given on presc...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章,评审


    authors: Smyth A

    更新日期:2005-12-01 00:00:00

  • Assessing ventilatory control in infants at high risk of sleep disordered breathing: a study of infants with cleft lip and/or palate.

    abstract::Neonatal exposure to intermittent hypoxia results in altered ventilatory response to subsequent hypoxia in animal models. The effect of similar exposure in human infants is unknown. Our objective was to determine the impact of sleep disordered breathing (SDB) in early infancy on ventilatory response in infants. We rec...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: MacLean JE,Tan S,Fitzgerald DA,Waters KA

    更新日期:2013-03-01 00:00:00

  • Pressure support ventilation, sigh adjunct to pressure support ventilation, and neurally adjusted ventilatory assist in infants after cardiac surgery: A physiologic crossover randomized study.

    abstract:OBJECTIVES:We sought to compare gas exchange, respiratory mechanics, and asynchronies during pressure support ventilation (PSV), sigh adjunct to PSV (PSV SIGH), and neurally adjusted ventilatory assist (NAVA) in hypoxemic infants after cardiac surgery. DESIGN:Prospective, single-center, crossover, randomized physiolog...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章,随机对照试验


    authors: Bonacina D,Bronco A,Nacoti M,Ferrari F,Fazzi F,Bonanomi E,Bellani G

    更新日期:2019-07-01 00:00:00

  • Lung disease in Niemann-Pick disease.

    abstract:BACKGROUND:Lung involvement in children with Niemann-Pick disease has rarely been studied systematically. OBJECTIVE:To assess the involvement of the lung and the value of bronchoalveolar lavage in children with Niemann-Pick diseases. DESIGN:Retrospective analysis of patient records. PATIENTS:Thirteen patients, with ...

    journal_title:Pediatric pulmonology

    pub_type: 杂志文章


    authors: Guillemot N,Troadec C,de Villemeur TB,Clément A,Fauroux B

    更新日期:2007-12-01 00:00:00